ORTHODONTICS ASSIGNMENT

NAMAYANJA SONIA

17/U/8133/PS

BDS 4

BI MAXILLARY PROTRUSION

Bi maxillary protrusion also known as bi maxillary proclination is a class I dentoalveolar malocclusion

with flaring of maxillary and mandibular anterior teeth. The flaring results into protrusion of the lips and
convex appearance of the face. Bi maxillary protrusion is common in Asian population
Clinical features of bi maxillary protrusion.

Extroral features

 Decreased nasolabial angle

 Shallow mentolabial sulcus
 Incompetent lips at rest
 Convex facial profile

Intraoral features

 Maxillary and mandibular anterior proclination

 Class I molar relationship
 Class I canine relationship
 Class I incisor relationship

Cephalometric findings

 Decreased interincisal angle

 Increased incisor mandibular plane
 Increased SNA and SNB angle in case of prognathism of jaws
 Increased SNPr and SNid angle in case of bi maxillary prognathism

Treatment of bi maxillary protrusion

 Can be managed with either removable or fixed orthodontic appliances
 Choice of which to
use depends on the
inclination of the
canines
 Removable orthodontic appliances are used for distally inclined canines
 Fixed orthodontic applainces are used for mesially inclined canines
 The first premolars in each qaudrant are extracted to create space for anterior retraction
 Maxillary and mandibular anterior are retracted while maintaining Class I molar and canine
relationship